JUSTIN TIMOTHY FULLER MD
NPI 1588955215
Pediatrics in Martinsville, IN
About Justin Timothy Fuller Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN TIMOTHY FULLER MD (NPI 1588955215) is an individual pediatrics provider in Martinsville, Indiana, licensed in Indiana (01072688A) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Martinsville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Justin Timothy Fuller Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Justin Fuller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bloomington, IN 47408
- Reassigned Medicare billing, Indiana enrollment
- 783 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46151 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARTINSVILLE, IN 46151
MARTINSVILLE, IN 46151
MARTINSVILLE, IN 46151
MARTINSVILLE, IN 46151
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Justin Fuller's NPI number?
The NPI number for Justin Fuller is 1588955215. It was assigned to this individual provider in the NPPES registry on April 28, 2011.
Where is Justin Fuller located?
Justin Fuller practices at 2209 John R Wooden Dr, Martinsville, IN 46151. The listed phone number is (317) 944-2819.
What is Justin Fuller's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Justin Fuller enrolled in Medicare?
Yes. Justin Fuller is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Justin Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Fuller reassigns Medicare benefits to 2 organizations: Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin Fuller accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Justin Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Justin Fuller was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Justin Timothy Fuller, MD · NPI 1588955215
Pediatrics physician in Martinsville, Indiana. Individual provider, active in the CMS NPPES registry since April 28, 2011.
## Identity
- **NPI:** 1588955215 (Entity type: Individual)
- **Enumerated:** April 28, 2011
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 01072688A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2209 JOHN R WOODEN DR, Martinsville, IN 46151-1840
- **Phone:** (317) 944-2819
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Indiana University Health Southern Indiana Physicians, LLC (NPI 1013953983, Bloomington, IN); Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2025
- **Other identifiers:** Medicaid 201098490 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1588955215) · Data from the CMS NPPES public registry.